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HSA Calculator 2026 →Self-Employment Tax Calculator 2026 →
HomeHealth & InsuranceACA Premium Subsidy Estimator

ACA Premium Subsidy Estimator

Estimate your ACA Marketplace premium tax credit, see the subsidy cliff impact, and check Silver-plan cost-sharing reduction eligibility.

Auto-updated May 1, 2026 · Verified daily against IRS, Fed & Treasury sources

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ACA Premium Subsidy Estimator

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Assumptions

  • ·Actuarially estimated premiums based on public industry medians (NAIC/LIMRA)
  • ·Standard risk profile unless age/health inputs provided
  • ·Annual premium expressed as monthly for comparison
When this is wrong
  • ·Carrier-specific underwriting criteria and rate filings
  • ·Individual health, driving history, or credit score discounts
  • ·State-mandated coverage minimums and surcharges
  • ·Group / employer plan pricing
Assumptions▾
  • ·Actuarially estimated premiums based on public industry medians (NAIC/LIMRA)
  • ·Standard risk profile unless age/health inputs provided
  • ·Annual premium expressed as monthly for comparison
When this is wrong
  • ·Carrier-specific underwriting criteria and rate filings
  • ·Individual health, driving history, or credit score discounts
  • ·State-mandated coverage minimums and surcharges
  • ·Group / employer plan pricing

Related Calculators

HSA Calculator 2026 →Self-Employment Tax Calculator 2026 →
Your Results

Based on your inputs

ℹ️Demo numbers — replace inputs to see yours
Annual Subsidy
$8,640positivepositive trend
Your Monthly Premium
$300.00
% of FPL
284%

Consider an HSA-Eligible HDHP

A Bronze HDHP would cost ~$0/mo after subsidy and unlocks an HSA — triple-tax-sheltered savings. Best for healthy households.

Federal Poverty Level (your size)$21,150
Your Income as % of FPL283.7%
Benchmark Silver (national est.)$1020/mo
Annual Benchmark Silver$12,240
Applicable % of Income6.00%
Your Expected Contribution (annual)$3,600
Annual Premium Tax Credit$8,640
Monthly Subsidy$720.00/mo
Monthly Cost to You (Silver)$300.00/mo
Bronze Plan Net (after subsidy)$0.00/mo
CSR TierNot eligible
Cliff Threshold (400% FPL)$84,600

Educational only. Not financial advice. Tax laws change — verify with a CPA. Verify enrollment + premiums at HealthCare.gov. Benchmark Silver premiums vary widely by state, county, and carrier — your actual subsidy may differ.

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Decision guides

Is an HSA Worth It?
When the HDHP + HSA combo actually saves money.
How Much Does Pet Insurance Cost?
Premiums, deductibles, and what plans cover.
HSA Triple Tax Advantage
Pre-tax, growth, and tax-free withdrawals explained.

Deep-dive articles

Key Takeaways

  • ARPA + IRA capped Marketplace premiums at 8.5% of income through 2025 — no income cap for subsidy eligibility
  • Without an extension, the 400% FPL cliff returns in 2026: at $1 over the threshold, subsidy drops to zero
  • Cost-sharing reductions (CSR) lower deductibles + copays for Silver plans under 250% FPL
  • Employer-offered "affordable" coverage (under ~9.12% of income) usually disqualifies you
  • Income just under the cliff threshold can save thousands vs. just over — model both scenarios

How the Premium Tax Credit Works

The PTC equals (benchmark Silver plan cost) minus (your applicable % of income). The applicable % rises with income on a sliding scale. Pick a cheaper Bronze plan and you may pay $0 net premium.

The Cliff Risk in 2026

Under pre-ARPA rules, earning $1 above 400% FPL meant losing the entire subsidy. For a 60-year-old couple earning $82K vs $80K, that's the difference between paying ~$680/mo and paying full price ~$2,000/mo. Manage MAGI carefully near the threshold.

HSA Strategy

An HSA-eligible high-deductible plan (HDHP) lets you triple-tax-shelter $4,300 (single) / $8,550 (family) in 2026. Combined with a low premium plan, total cost can beat richer plans for healthy households.

Households between 100-400% of FPL (and through 2025, above 400% under ARPA), without affordable employer coverage and not eligible for Medicare/Medicaid.

Pre-ARPA, earning above 400% FPL meant zero subsidy — a sharp cliff. ARPA capped premiums at 8.5% of income through 2025. The cliff returns in 2026 unless Congress extends.

CSR lowers your deductible, copays, and out-of-pocket max on Silver-tier plans. Available under 250% FPL when you enroll in a Silver Marketplace plan.

Generally no — if employer coverage is 'affordable' (under ~9.12% of income) and meets minimum value, you can't get a Marketplace subsidy. Dependents may still qualify after the family-glitch fix.

ACA MAGI = AGI + tax-exempt interest + non-taxable Social Security + foreign earned income excluded from tax. Different from Medicare IRMAA MAGI.

If you're healthy and want triple-tax-sheltered savings, yes. HSA limits for 2026 are roughly $4,300 single / $8,550 family. Pair with a Bronze HDHP to minimize premium.

Subsidy = Benchmark Silver Premium − (Income × Applicable %)

Applicable % rises with income on a sliding scale. ARPA caps at 8.5% of MAGI through 2025. Post-cliff (2026 if not extended) hits 9.86% then drops to zero above 400% FPL.

2025 FPL (48 states): $15,650 base + $5,500 per additional household member.

Published byJere Salmisto· Founder, CalcFiReviewed byCalcFi EditorialEditorial standardsMethodologyLast updated May 2, 2026

Primary sources & authoritative references

Every formula on this page traces to a federal agency, central bank, or peer-reviewed institution. We cite the rule-makers, not secondhand blogs.

  • HealthCare.gov — Official federal marketplace — U.S. Department of Health & Human Services (opens in new tab)
  • Centers for Medicare & Medicaid Services — CMS (opens in new tab)

Found an error in a formula or source? Report it →

Calculations are for educational purposes only. Consult a qualified financial advisor for personalized advice.